Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

HILLARY A SPEARS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1447666912
CMS profile
11101717
Location
MISSOURI CITY, TX

General Payments · PY2021–2024

$2,370.49

  • Reported across 129 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$592.14

33 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $592.14 33

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $558.48 29
PY2022 $667.88 38
PY2023 $551.99 29
PY2024 $592.14 33

Payment records · PY2024 (33)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $22.70 03/12/2024 Food and Beverage Undisputed 01/23/2026 1116145166 CMS
Amgen Inc. $17.07 05/21/2024 Food and Beverage Undisputed 01/23/2026 1117690436 CMS
Amgen Inc. $13.44 08/13/2024 Food and Beverage Undisputed 01/23/2026 1117690438 CMS
Amgen Inc. $16.56 12/12/2024 Food and Beverage Undisputed 01/23/2026 1117690440 CMS
Antares Pharma, Inc. $13.58 02/09/2024 Food and Beverage Undisputed 01/23/2026 1146523674 CMS
Antares Pharma, Inc. $16.76 08/15/2024 Food and Beverage Undisputed 01/23/2026 1146523679 CMS
AstraZeneca Pharmaceuticals LP $20.24 01/25/2024 Food and Beverage Undisputed 01/23/2026 1104363499 CMS
AstraZeneca Pharmaceuticals LP $17.42 04/11/2024 Food and Beverage Undisputed 01/23/2026 1105678089 CMS
AstraZeneca Pharmaceuticals LP $19.95 05/28/2024 Food and Beverage Undisputed 01/23/2026 1104383219 CMS
AstraZeneca Pharmaceuticals LP $21.09 07/02/2024 Food and Beverage Undisputed 01/23/2026 1105449334 CMS
AstraZeneca Pharmaceuticals LP $17.84 10/22/2024 Food and Beverage Undisputed 01/23/2026 1105487085 CMS
Corium, LLC $21.10 03/19/2024 Food and Beverage Undisputed 01/23/2026 1100094029 CMS
Corium, LLC $23.37 06/18/2024 Food and Beverage Undisputed 01/23/2026 1100187564 CMS
Corium, LLC $7.25 09/20/2024 Food and Beverage Undisputed 01/23/2026 1100217605 CMS
Corium, LLC $1.66 09/20/2024 Food and Beverage Undisputed 01/23/2026 1100217613 CMS
Corium, LLC $21.85 10/10/2024 Food and Beverage Undisputed 01/23/2026 1100217727 CMS
GlaxoSmithKline, LLC. $17.32 02/15/2024 Food and Beverage Undisputed 01/23/2026 1116328578 CMS
GlaxoSmithKline, LLC. $13.47 07/30/2024 Food and Beverage Undisputed 01/23/2026 1116185742 CMS
GlaxoSmithKline, LLC. $16.26 11/05/2024 Food and Beverage Undisputed 01/23/2026 1116272148 CMS
Lilly USA, LLC $14.21 03/05/2024 Food and Beverage Undisputed 01/23/2026 1135693124 CMS
Lilly USA, LLC $19.46 04/30/2024 Food and Beverage Undisputed 01/23/2026 1135641104 CMS
Lilly USA, LLC $17.50 05/06/2024 Food and Beverage Undisputed 01/23/2026 1135681133 CMS
Lilly USA, LLC $29.10 10/24/2024 Food and Beverage Undisputed 01/23/2026 1135667394 CMS
Lilly USA, LLC $27.63 11/07/2024 Food and Beverage Undisputed 01/23/2026 1135641102 CMS
Novo Nordisk Inc $17.45 02/02/2024 Food and Beverage Undisputed 01/23/2026 1100287660 CMS
Novo Nordisk Inc $17.01 05/07/2024 Food and Beverage Undisputed 01/23/2026 1100643227 CMS
Novo Nordisk Inc $19.10 08/29/2024 Food and Beverage Undisputed 01/23/2026 1100296693 CMS
PFIZER INC. $23.37 03/07/2024 Food and Beverage Undisputed 01/23/2026 1131226381 CMS
PFIZER INC. $22.47 10/15/2024 Food and Beverage Undisputed 01/23/2026 1132103101 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.48 08/07/2024 Food and Beverage Undisputed 01/23/2026 1153567358 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.56 11/20/2024 Food and Beverage Undisputed 01/23/2026 1153619937 CMS
Seqirus USA Inc $18.63 11/19/2024 Food and Beverage Undisputed 01/23/2026 1125629990 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.24 05/30/2024 Food and Beverage Undisputed 01/23/2026 1137827429 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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